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FLORIDA SURGICAL GROUP P.A. NPI 1710977251


NPI Information

NPI: 1710977251
Provider Name: FLORIDA SURGICAL GROUP, P.A.
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 10D0862238

Address:
661 E ALTAMONTE DR
SUITE 323
ALTAMONTE SPRINGS, FL
ZIP 32701
Phone: (407) 834-6965
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FLORIDA SURGICAL GROUP, P.A. is a surgery in Altamonte Springs, FL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. FLORIDA SURGICAL GROUP, P.A. NPI is 1710977251. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

661 E ALTAMONTE DR
SUITE 323
ALTAMONTE SPRINGS, FL
ZIP 32701-105
Phone: (407) 834-6965
Fax: (407) 834-0424

The provider's authorized official is Jeffery Ray Cryar .
The authorized official title is President and has the following contact phone number (407) 834-6965.

The CLIA number assigned to this NPI record is 10D0862238 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2005 and was last updated on 1/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1370052600MEDICAIDFLORIDA
200881MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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